April 29, 2025

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Understanding return of premium health insurance plan: How it works

Understanding return of premium health insurance plan: How it works
Health insurance is evolving to offer more value beyond basic coverage. The Return of Premium (ROP) Health Insurance Plan is an industry-first initiative that rewards policyholders with financial benefits and enhanced coverage for staying healthy.

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This plan, introduced by CARE Health Insurance, is currently the only one of its kind available in the market, according to a note shared by Policybazaar.

What is ROP health insurance?

ROP Health Insurance is a policy that refunds the first year’s base premium after every five consecutive claim-free years.

It also includes multiple features that boost coverage, making it a compelling option for long-term policyholders.

How does it work?

According to Policybazaar, the ROP Health Insurance Plan includes the following features:

Money back benefit – Policyholders get back their first year’s premium after five consecutive claim-free years.

Loyalty boost – The sum insured doubles after seven consecutive claim-free years.

Infinity boost – The sum insured increases by 100% annually, regardless of claims.

Instant cover benefit – Coverage for pre-existing conditions like diabetes, hypertension, asthma, and more begins from day 31.

Unlimited care benefit – One-time hospitalisation is covered without any sum insured limit during the policy term.

Optional add-ons – Maternity insurance, OPD cover, cancer insurance, premium freeze, tenure multiplier, and unlimited recharge booster provide flexible enhancements.

Why this plan stands out

Siddharth Singhal, Head of Health Insurance at Policybazaar, said, “The new industry-first ROP Health Insurance Plan by CARE is a game changer. Not only does it offer a Money Back Benefit—returning your first year’s premium after five claim-free years—but it also gives long-term rewards like a 100% sum insured boost after seven claim-free years. With the Infinity Boost, your coverage automatically increases every year, regardless of claims.”

Currently, this plan is available only with CARE Health Insurance.

However, as demand for rewarding and flexible health insurance grows, more insurers may introduce similar offerings.

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